Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $56.32 / $72.33	Professional		$43.54	$56.32	$72.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $48.58 / $58.29	Professional		$41.97	$48.58	$58.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $81.51 / $3,857.00	Professional		$70.02	$81.51	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $43.51 / $50.76	Professional		$39.89	$43.51	$50.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $48.58 / $75.14	Professional		$41.97	$48.58	$75.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $49.99 / $66.81	Professional		$29.27	$49.99	$66.81